Association of conventional cigarette smoking, heated tobacco product use, and dual use with hearing loss: A working population-based study.

IF 2.2 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Tobacco Induced Diseases Pub Date : 2024-05-23 eCollection Date: 2024-01-01 DOI:10.18332/tid/187302

Huan Hu, Haruka Miyake, Takeshi Kochi, Toshiaki Miyamoto, Hiroko Okazaki, Isamu Kabe, Aki Tomizawa, Tohru Nakagawa, Toru Honda, Shuichiro Yamamoto, Maki Konishi, Shohei Yamamoto, Yosuke Inoue, Seitaro Dohi, Tetsuya Mizoue

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引用次数: 0

Abstract

Introduction: Although conventional cigarette smoking has been linked to an increased risk of hearing loss, the association between heated tobacco products (HTPs) and hearing loss is unknown. The objective of this study was to investigate the association between cigarette and HTP use and hearing loss.

Methods: This cross-sectional study examined the data of 7769 employees from five companies (Study I) and 34404 employees from a large company (Study II), all participants in the Japan Epidemiology Collaboration on Occupational Health Study. The participants were categorized into five groups based on their self-reported tobacco use: never smokers, former smokers, exclusive cigarette smokers, exclusive users of HTPs, and those who used both cigarettes and HTPs. Hearing levels were measured using pure-tone audiometry at 1 and 4 kHz frequencies. Separate analyses were carried out for each study, and the results were then combined using fixed-effect models to pool the estimates.

Results: The analysis included 42173 participants, with a prevalence of 12.9% for exclusive cigarette smoking, 9.8% for exclusive HTP use, and 5.5% for dual use. The pooled adjusted odds ratios with 95% confidence intervals for unilateral hearing loss at 4 kHz were 1.21 (95% CI: 1.10-1.33) for former smokers, 1.83 (95% CI: 1.64-2.05) for exclusive cigarette smokers,1.46 (95% CI: 1.28-1.67) for exclusive HTP users, and 1.66 (95% CI: 1.41-1.96) for dual users, compared to never smokers. Additionally, the adjusted odds ratios for hearing loss at 4 kHz among exclusive cigarette smokers, exclusive HTP users, and dual users increased with the intensity of cigarette/HTP consumption (all p for trend <0.001). No significant associations were found between exclusive HTP use, dual use, and hearing loss at 1 kHz, apart from exclusive cigarette smoking.

Conclusions: In this cross-sectional study, associations were found between exclusive cigarette smoking, exclusive HTP use, dual use, and hearing loss, particularly at 4 kHz. Further research is needed to confirm these findings.

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传统吸烟、使用加热烟草制品和双重使用与听力损失的关系：基于工作人群的研究。

简介：尽管传统吸烟与听力损失风险增加有关，但加热烟草制品（HTP）与听力损失之间的关系尚不清楚。本研究旨在调查吸烟和使用加热烟草制品与听力损失之间的关系：这项横断面研究调查了来自五家公司（研究 I）的 7769 名员工和一家大型公司（研究 II）的 34404 名员工的数据，他们都是日本职业健康流行病学合作研究的参与者。根据自我报告的烟草使用情况，参与者被分为五组：从不吸烟者、曾经吸烟者、只吸烟者、只使用高危含片者以及既吸烟又使用高危含片者。听力水平采用 1 kHz 和 4 kHz 频率的纯音测听法进行测量。每项研究都进行了单独分析，然后使用固定效应模型对结果进行合并，以汇总估计值：分析包括 42173 名参与者，其中完全吸烟的流行率为 12.9%，完全使用 HTP 的流行率为 9.8%，双重使用的流行率为 5.5%。与从不吸烟者相比，4 kHz 单侧听力损失的合并调整几率比（95% 置信区间）分别为：曾经吸烟者 1.21（95% CI：1.10-1.33），完全吸烟者 1.83（95% CI：1.64-2.05），完全使用 HTP 者 1.46（95% CI：1.28-1.67），双重使用者 1.66（95% CI：1.41-1.96）。此外，完全吸烟者、完全使用 HTP 者和双重使用者在 4 kHz 时听力损失的调整后几率随着吸烟/HTP 消费强度的增加而增加（所有 p 均为趋势性结论）：在这项横断面研究中发现，完全吸烟、完全使用热塑性硫化弹性体、双重使用热塑性硫化弹性体与听力损失（尤其是 4 kHz）之间存在关联。需要进一步的研究来证实这些发现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tobacco Induced Diseases SUBSTANCE ABUSE-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

5.30

自引率

5.40%

发文量

审稿时长

12 weeks

期刊介绍： Tobacco Induced Diseases encompasses all aspects of research related to the prevention and control of tobacco use at a global level. Preventing diseases attributable to tobacco is only one aspect of the journal, whose overall scope is to provide a forum for the publication of research articles that can contribute to reducing the burden of tobacco induced diseases globally. To address this epidemic we believe that there must be an avenue for the publication of research/policy activities on tobacco control initiatives that may be very important at a regional and national level. This approach provides a very important "hands on" service to the tobacco control community at a global scale - as common problems have common solutions. Hence, we see ourselves as "connectors" within this global community. The journal hence encourages the submission of articles from all medical, biological and psychosocial disciplines, ranging from medical and dental clinicians, through health professionals to basic biomedical and clinical scientists.